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Individual

DR. GARRETT THOMAS WASP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ONE MEDICAL CENTER DR, HEMATOLOGY/ONCOLOGY, LEBANON, NH 03756-0001
(603) 650-5529
Mailing address
ONE MEDICAL CENTER DR, HEMATOLOGY/ONCOLOGY, LEBANON, NH 03756-0001
(603) 650-5529

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17602
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3117458
NH
05
6701039
VT
Enumeration date
04/18/2013
Last updated
09/06/2019
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